Nur 409 Respiratory I questions with correct answers

What is the difference between the left and right lung? CORRECT ANSWER The left lung has the heart so it is more angled, while the right side is straighter and more open It is more likely for a foreign object to go to the right side For a focused assessment of aspiration, go right to the point, first start with right side of lungs Mirror image- x-rays are flipped- keep this in mind What is the difference between the two sides? • Right side is straighter, left side is sharper angle - VERY IMPORTANT to remember - the left side has the heart, the right side just goes straight down ◦ If the patient has inhaled foreign object, left side there's heart blocking and filling ◦ Clinical implication- more likely for foreign object to slide down right side because it's open (aspiration of pneumonia, foreign object fell down respiratory tract)- more likely to RIGHT side ‣ Start with the right side of the lungs! Focused assessment, right to the point. And then listen to left - compare and contrast ◦ If something goes down to the right side of lungs especially with respiratory problems, what intervention? Intubation- the tube can also be more likely to go too far ‣ If the tube goes too far, it's more likely to go into the right (it is straighter) ‣ Endotrachial tube is very stiff- is can likely slide just straight down- can't bend too easily to the left, so it's more likely to mistakenly end up in right